Individual provider Active NPI

Francisco Rafael Audivert, MD

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1427220490
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
110729 Issued in FL
Practice address
2141 SW 1St St Ste 103
Miami, FL 33135-1695
Phone
(305) 644-6024
Fax
(305) 644-6025
NPI assigned
Mar 30, 2008
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 110729 FL Primary

Addresses

Primary practice location

2141 SW 1St St Ste 103
Miami, FL 33135-1695

Mailing address

1695 NW 9TH Ave
Suite 2101
Miami, FL 33136-1409
Phone (305) 355-8260

Other practice location 1

4175 W 20th Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204000664 FL Practitioner - Psychiatry 1254789126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Health Network, Inc.Group PAC ID 9931177334, 49 clinicians

Practice addresses (Care Compare)

4125 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 424-3120

4175 W 20TH Ave
Hialeah, FL 33012-5874
Phone (305) 825-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
110729FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Health Network Inc CurrentSince Oct 21, 2023 Accepting new patients
Citrus Health Network, Inc. CurrentSince Oct 21, 2023 Accepting new patients
Coral CMHC Inc CurrentSince Mar 6, 2022 Accepting new patients
Citrus Health Network Inc Current Accepting new patients

Locations

4175 W 20th Ave
Hialeah, FL 33012
Phone (305) 424-3030

2141 SW 1st St
Ste 103
Miami, FL 33135
Phone (305) 644-6024

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1427220490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 NW 9TH AVE",
            "address_2": "SUITE 2101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361409",
            "telephone_number": "305-355-8260",
            "fax_number": "305-355-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 SW 1ST ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331351695",
            "telephone_number": "305-644-6024",
            "fax_number": "305-644-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 W 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125874",
            "country_code": "US",
            "telephone_number": "305-825-0300",
            "fax_number": "786-209-2055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUDIVERT",
        "first_name": "FRANCISCO",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-30",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "110729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.